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North Carolina rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.74 / $329.28 / $355.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.71 / $205.97 / $226.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.30 / $348.92 / $429.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $176.42 / $188.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $130.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $154.66 / $212.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $205.97 / $267.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.14 / $172.14 / $172.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.00 / $274.00 / $421.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.31 / $116.31 / $170.16
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.54 / $1,089.41 / $1,089.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.86 / $1,712.40 / $1,712.40